Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.32 / $1,400.00 / $8,673.45	Facility		$417.32	$1,400.00	$8,673.45
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $208.66 / $208.66 / $320.24	Facility	52	$208.66	$208.66	$320.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.43 / $449.31 / $668.31	Professional		$385.43	$449.31	$668.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $447.58 / $496.01 / $540.41	Facility		$447.58	$496.01	$540.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $246.34 / $480.36 / $480.36	Professional		$246.34	$480.36	$480.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.35 / $480.35 / $480.35	Facility		$480.35	$480.35	$480.35
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $379.98 / $379.98 / $379.98	Facility	52	$379.98	$379.98	$379.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.19 / $619.28 / $1,243.55	Professional		$409.19	$619.28	$1,243.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,941.88 / $8,515.82 / $17,578.84	Facility		$5,941.88	$8,515.82	$17,578.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.91 / $649.46 / $678.36	Professional		$565.91	$649.46	$678.36
United Facility/Professional Professional Modifier Low / Median / High Price $345.65 / $507.74 / $706.88	Professional		$345.65	$507.74	$706.88